本文選題：尿道狹窄 + 勃起功能障礙　； 參考：《寧夏醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討三種治療方法對(duì)男性尿道狹窄患者性功能的影響。方法:回顧性分析寧夏醫(yī)科大學(xué)總醫(yī)院院泌尿外科2011年1月至2016年3月期間所收治尿道狹窄男性患者的臨床資料。這些患者于我院分別行尿道擴(kuò)張術(shù)、尿道內(nèi)切開術(shù)和經(jīng)會(huì)陰途徑尿道端端吻合術(shù),根據(jù)納入及排除標(biāo)準(zhǔn),選擇60例18~66歲接受手術(shù)治療的男性患者資料。回顧性分析60例患者的臨床資料,按治療治療方法不同分為三組,通過聯(lián)合使用門診隨訪、電話隨訪及通信隨訪的調(diào)查方式讓患者填寫國(guó)際勃起功能調(diào)查問卷(IIEF-5)、性生活質(zhì)量調(diào)查表(SLQQ)2份表格,評(píng)估患者術(shù)前、術(shù)后3個(gè)月以及術(shù)后6個(gè)月的性功能情況,隨訪至患者術(shù)后6個(gè)月。評(píng)價(jià)三種治療方式對(duì)患者性功能的影響,找出影響患者性功能的危險(xiǎn)因素。結(jié)果:共收集53例有效數(shù)據(jù),患者年齡39.9歲,其中行尿道擴(kuò)張術(shù)患者18例,行尿道內(nèi)切開術(shù)患者12例,行尿道端端吻合術(shù)患者23例�？傮w而言,尿道擴(kuò)張術(shù)患者術(shù)后3個(gè)月、6個(gè)月患者IIEF-5評(píng)分及SLQQ評(píng)分較術(shù)前未見明顯變化,而尿道內(nèi)切開術(shù)患者及尿道端端吻合術(shù)患者術(shù)后3個(gè)月、6個(gè)月患者IIEF-5評(píng)分及SLQQ評(píng)分均較前下降,且存在統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:尿道擴(kuò)張術(shù)對(duì)患者術(shù)后性功能無明顯影響,尿道內(nèi)切開術(shù)和端端吻合術(shù)會(huì)不同程度降低患者性功能;尿道端端吻合術(shù)患者術(shù)后發(fā)生勃起功能障礙比率較尿道內(nèi)切開術(shù)患者大;手術(shù)方式和狹窄部位是患者術(shù)后發(fā)生勃起功能障礙的危險(xiǎn)因素;隨時(shí)間增長(zhǎng),部分尿道狹窄患者術(shù)后性功能可得到改善。
[Abstract]:Objective: to explore the effect of three treatment methods on sexual function of male urethral stricture patients. Methods: the clinical data of male patients with urethral stricture treated in General Hospital of Ningxia Medical University from January 2011 to March 2016 were analyzed retrospectively. These patients underwent urethral dilatation, urethrotomy and transperineal end-urethral anastomosis respectively. According to the criteria of inclusion and exclusion, 60 male patients aged 1866 were selected. The clinical data of 60 patients were retrospectively analyzed and divided into three groups according to different treatment methods. By telephone follow-up and correspondence follow-up, the patients were asked to fill out the International erectile function questionnaire (IIEF-5) and the sexual quality questionnaire (SLQQQ) to evaluate the sexual function of the patients before, 3 months and 6 months after operation. The patients were followed up to 6 months after operation. To evaluate the influence of three treatments on patients' sexual function and find out the risk factors. Results: a total of 53 cases of effective data were collected. The age of the patients was 39.9 years, including 18 cases of urethral dilatation, 12 cases of urethrotomy and 23 cases of end-to-end urethral anastomosis. In general, the IIEF-5 and SLQQ scores of urethral dilatation patients 3 months and 6 months after urethral dilatation were not significantly different from those before operation. However, the IIEF-5 and SLQQ scores in patients with end-to-end urethrostomy and urethral end-to-end anastomosis after 3 months and 6 months were lower than those in the former, and there was significant difference between the two groups (P 0.05). Conclusion: urethral dilatation has no significant effect on the sexual function after operation, and urethrotomy and end-to-end anastomosis can decrease the sexual function in different degree. The incidence of erectile dysfunction in urethral end-to-end anastomosis patients was higher than that in urethral end-to-end anastomosis patients. Sexual function can be improved in patients with partial urethral stricture after operation.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R699.6

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